Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.78 / $63.31 / $406.32	Facility		$18.78	$63.31	$406.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $40.20 / $125.07	Professional		$38.72	$40.20	$125.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.52 / $44.13 / $51.53	Facility		$30.52	$44.13	$51.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $24.21 / $48.58	Professional		$23.19	$24.21	$48.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $68.64 / $80.90	Facility		$49.03	$68.64	$80.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $63.74 / $98.06	Professional		$52.46	$63.74	$98.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.87 / $38.15 / $116.85	Facility		$31.87	$38.15	$116.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $55.15 / $315.83	Professional		$24.93	$55.15	$315.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $26.97 / $26.97	Professional		$26.97	$26.97	$26.97
United Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $40.03 / $68.48	Professional		$16.80	$40.03	$68.48